Compared to Pediatrics Peers
Total spending distribution among 14 providers in this specialty
This provider's total spending of $42.3M is at the 25th percentile among 14 Pediatrics providers.
Total Paid
$42.3M
$42,291,717
Total Claims
869K
Beneficiaries
846K
1.0 claims/patient
Avg Cost/Claim
$49
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 38% of total spending.
$16.1M
156K claims
$103.21
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$16.1M
156K claims · 38.1%
$9.2M
127K claims
$72.38
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$9.2M
127K claims · 21.7%
$2.9M
33K claims
$89.92
$75.18
Preventive medicine, established patient, age 1-4
$2.9M
33K claims · 6.9%
$2.8M
33K claims
$85.77
$69.35
Preventive medicine, established patient, infant (under 1)
$2.8M
33K claims · 6.7%
$2.3M
83K claims
$27.34
$9.80
Immunization administration, 1 vaccine, percutaneous/ID/SC/IM
$2.3M
83K claims · 5.4%
$1.5M
17K claims
$87.78
$74.82
Preventive medicine, established patient, age 5-11
$1.5M
17K claims · 3.5%
$1.1M
34K claims
$31.67
$11.79
Immunization administration, each additional vaccine
$1.1M
34K claims · 2.5%
$941K
24K claims
$38.56
$30.04
SARS-CoV-2 COVID-19 antigen detection, immunoassay
$941K
24K claims · 2.2%
Influenza virus detection, rapid test
$480K
19K claims · 1.1%
$448K
5,492 claims
$81.51
$65.64
Influenza virus detection, reverse transcription, amplified probe
$448K
5,492 claims · 1.1%
$432K
4,515 claims
$95.62
$57.85
Office/outpatient visit, new patient, low-mod complexity
$432K
4,515 claims · 1.0%
Therapeutic activities, each 15 min
$419K
6,728 claims · 1.0%
$389K
27K claims
$14.39
$11.48
Streptococcus, Group A, rapid antigen detection
$389K
27K claims · 0.9%
$356K
3,704 claims
$95.98
$80.15
Preventive medicine, established patient, age 12-17
$356K
3,704 claims · 0.8%
$353K
5,598 claims
$63.12
$40.11
Office/outpatient visit, new patient, low complexity
$353K
5,598 claims · 0.8%
$348K
5,410 claims
$64.38
$49.45
Speech/hearing/language treatment
$348K
5,410 claims · 0.8%
$326K
10K claims
$31.27
$28.46
Streptococcus Group A detection, nucleic acid, amplified probe
$326K
10K claims · 0.8%
$248K
2,575 claims
$96.19
$73.46
Preventive visit, new patient, infant (<1 yr)
$248K
2,575 claims · 0.6%
$220K
5,728 claims
$38.42
$39.63
SARS-CoV-2 COVID-19 antigen detection, immunoassay, each
$220K
5,728 claims · 0.5%
$195K
30K claims · 0.5%
$184K
1,290 claims
$142.99
$84.03
Office/outpatient visit, new patient, mod-high complexity
$184K
1,290 claims · 0.4%
$184K
10K claims · 0.4%
$156K
19K claims
$8.37
$9.10
Developmental screening, per standardized instrument
$156K
19K claims · 0.4%
$123K
28K claims · 0.3%
$121K
30K claims
$4.07
$3.67
Brief emotional/behavioral assessment, per standardized instrument
$121K
30K claims · 0.3%
$85K
1,391 claims · 0.2%
$67K
6,232 claims · 0.2%
$66K
1,811 claims
$36.68
$25.06
Office/outpatient visit, low complexity
$66K
1,811 claims · 0.2%
$64K
3,430 claims
$18.79
$12.93
Office/outpatient visit, minimal complexity
$64K
3,430 claims · 0.2%
$41K
3,571 claims · 0.1%
$40K
386 claims
$104.45
$81.92
Preventive visit, new patient, late childhood (5-11 yr)
$40K
386 claims · 0.1%
$23K
9,210 claims · 0.1%
$17K
7,891 claims · 0.0%
$16K
1,557 claims · 0.0%
$14K
69 claims
$199.35
$110.87
Evaluation of speech sound production with language comprehension
$14K
69 claims · 0.0%
$13K
349 claims · 0.0%
$9K
784 claims · 0.0%
$9K
88 claims
$100.39
$79.89
Preventive visit, new patient, early childhood (1-4 yr)
$9K
88 claims · 0.0%
OT evaluation, moderate complexity
$7K
82 claims · 0.0%
$6K
171 claims · 0.0%
PT evaluation, moderate complexity
$5K
57 claims · 0.0%
$3K
27 claims
$118.88
$83.63
Preventive visit, new patient, adolescent (12-17 yr)
$3K
27 claims · 0.0%
$2K
57 claims
$37.41
$33.72
COVID-19 vaccine admin, Pfizer, 1st dose
$2K
57 claims · 0.0%
$2K
14 claims
$148.84
$74.09
Office/outpatient visit, high complexity
$2K
14 claims · 0.0%
$2K
111 claims
$14.12
$10.88
Pressurized or nonpressurized inhalation treatment
$2K
111 claims · 0.0%
$1K
77 claims · 0.0%
$1K
86 claims
$12.79
$9.56
Therapeutic injection, subcutaneous/intramuscular
$1K
86 claims · 0.0%
$1K
888 claims · 0.0%
$842
59 claims · 0.0%
$778
44 claims · 0.0%
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